20210662 Ver 1_Pre-Filing Meeting Information_20210331

DWR Pre -Filing Meeting Request Form
Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Doug Dorman
[e-mail]
Kathy Jarvis
Jarvis Property
Dare
Owner Address:* Street Address
PO Box 963
Address Line 2
City State / Rovince / Region
Buxton NC
Fbstal / Zip Code Country
27920 USA
Is this a transportation project?* r Yes c: No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - I— 401 Water Quality Certification -
Reg ula r Express
I— Individual Permit I— Modification
I— Shoreline Stabilization
Does this project have an existing project ID#?*
(' Yes c: No
Do you know the name of the staff member you would like to request a meeting with?
Chris Pullinger
Please give a brief project description below.*
Proposed PCN submittal is for a Nationwide #14 to fill 1,287 square
feet of wetlands for a driveway to a proposed single family residence.
Please give a couple of dates you are available for a meeting.
4/2/2021
4/5/2021
4/9/2021
Please attach the documentation you would like to have the meeting about.
Jarvis Site Plan 2.pdf 83.66KB
pdf only

By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• !also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature *
Submittal Date 3/31/2021